Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Tyler Brucker, A.T.C.

Athletic Trainer in Gibson City, IL · enumerated 2007.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104008333

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Registry record

Entity type Individual (Type 1)

Name Tyler Brucker

Credential A.T.C.

Sex Male

Practice address 10 Doctors Park, Gibson City, IL, 60936

Phone (217) 781-2560

Enumeration date Nov 29, 2007

Last updated in NPPES Nov 29, 2007

Taxonomy & licenses

2255A2300X Athletic Trainer Respiratory, Developmental, Rehabilitative and Restorative Service Providers Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Tyler Brucker practice?

The practice location on file with NPPES is in Gibson City, IL. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Tyler Brucker?

The National Provider Identifier (NPI) for Tyler Brucker is 1104008333, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-11-29.